PedsSamplex Cardiology

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  • 8/6/2019 PedsSamplex Cardiology

    1/18

    re,A.Physiologicvat!ationf CongenitaleartDiseaseI Rel.t l ivevl. .r 'r,.t .r lg nlt,r lr letrnele,A cannotustarnetal urvival

    ,, js p.;m,l y ue o decreasedutmonaryloodlowq__lBausedy ntracdrdiachuntt he O.amenvaleQ is,tneormalstatefrnIauterinerrculatton2 A favoredght-toe[,lpA.tooha)shuntjngf.bloodcrossh{dr.ctus ,rc,,nr,,J,, u. ,o,A v..tsodrl. 'r,t l^nalhrlr lmolar/ asclrtnr,rrj ". ' ' " "Jl ql\\t ').r 'i rr. ycr,rt lprrance(9/'oir sysrcnrcascutaies,5hngs,( LD.htghen ttal ressureclrfo//"

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    '' "llll::ii:i:f][ffl.ll:;"y-* '"'casedtrrmonarvrood'iowheres;@(,rtrl, ' tu"' u, r,.,o'rV/Ol ,,snlatch.i fiiJliJ'"'-'""''''" v""l vgc'-'11.Whrchf l.e ol'owrngiirjot oart lclinicaltoolsord,agnos,s,redrahic ardrotogy?A. history ndpE -* +-_r_ /l8.chest -ray _, \ -_- _ ,'r tp2oecr'o.ara,cr.am '(') M,u,|,r:", f f0el*.( ,y-^ l^. f ior .u ' , , \n.xr . l ( :G) , =-- \l2 lhcnr)j;rrh"r'l' i rrncarrrqnosrsnanacyanorrcrnnr rrrrr.r r:.{(,r,ri,, .r,;ii l)r r(lhlcnkural"'*Tnl,3;ulJlfi,l":H.'."0,",00,.,,1---:- , r-r:r'1'r'#.."r':1rur'r-B pnA{r.l,r t tuctljs,lrterrcsus)/i-,PS pr,tmonrctenosrst

    . . ^f(9ASn l;rrr tse|ral efect). LJLrmcatr,rqrx):;rsrey.rnotrceonateithncreasedulnolarykrcrtlow pBF)yfoes!,{ril ndbtventrrclarvpenrfr (BVfl)byCG., * Ir r , t . , , , t , , ,, t r ! , , , t x. r l rr , . r tr , f t rk_, jr{F, t rrrr ir"Arl ,r1r: . (r ' ,A)t t , f t , tr tL . ' , t ,rrr.rtolrsl.rnnlundyplr\r\ e1,1rlD lt ' r ( ler rr,'vo .lf lot)14. xyge\halngeest;A V.lolehy_4gruurgrygenromheneonate/,( ycans[r-.1altf, ,agosehe tiologyf eona(alya|osriz.-:C,candrfl4.e1lrileentralfromenpheralyafl0st60. r always onet trOathabt5.Pulmonaq/demanCHO itfiIcGs;d pBFrsparivdueo.1.0!4!t!o'l,:,n'rlyhy,rr,i,tniiil-iiirft,ro. - 'f,; ;j{ l{ +ArncreasedghtatrialRA) resure.- l ^/l qyU

    r\.{ltncreased uhonay rterialpA)ressrJre. *U.oDstructionflhe ulmonicallel. ConC[tive .rrtFrilurol. Totljllipher , esstancesequrvalenlo$#HT;5l:t','.C. trokeolume

    D.myocardiatontractjlilv3.Congenitalearlailures

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    "*"ilil,XHili",;iffin'-r+o''e; ry..&B.ventlculareptatdefectSO)A patenructusrteriosuspDA). (lfpulmonrctenosispS)-,to6^l':ilL1:j;,.,sep.iina,viumprair*e; ft-lnl { l . ro l r rcrcnosrs - , . r / - I - ./ .A"c;(aX^fightventrcularRV)alnre ,( .(nl r t . (t-) -L'q

  • 8/6/2019 PedsSamplex Cardiology

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    ;cttctol rrr,r l{)r,r.rr l iLrSt r nconatc:A cild|(nIyop,t lhyA shunt tesn^Glomplete eartlocln rrr r ' , \ , r /Ll , l r "4 Oy,llosrsr .l cllrkts osttkelyueoCHDf t sassociatedilhA. rying[BFlubbinsC coughingD.limping5.Squatting

    A commonnshuntesions(9)h;ttlmartosturefcya4o$cean afuntsC Increa:csl'r,putrnolay rlerypA)pressureU rowert.n syt.lefltaascularesislance6.A sign f efl-srdedeadailure,A puffyace/eyelids if < uFltO"ts c t:N6f

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    /-Carlstignsfheartallurenchjldren:A tachypneaB. achycardraOiottu. ne(her23. ipedaledemaould ean,A.RV ailureA end-stagearlureibothD.neither24.NormalrterialxyOenaturation;

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  • 8/6/2019 PedsSamplex Cardiology

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    Whrch lttru nr,,w r I s ont r pr t ot ctrnrcatoots or dragnosis pedrat.bcardiotogv?A r ls ldv and ntI chest x .ay,C. 20 echocardroqt.mr | ! \1 'L\ r t [Aran ( t CC )Th. nt r l[.lt L dtr, nrJnrrli'. h rn J.ynnotK mtantwdh rrcase(t l,8t t]yd!'sl Xrry dn.j ohl ventncutar ypertroptryRVr{) nEO G A VSo ventncurareptatdercct)- l"- ,B pDA paleoiuctusdenosus) , . , ,(_ ps (trlrtmonr ienosis), Or ASO at,rat . etd.tRt)oryqe..ha en-QeestA rsdono t ry d6pivrng oxyo.n tiorn r n4o.al.n dn 6fF 'r ' Jrly ,rdqnce tn . et u.ogy ot nF,, ,.tr , ,d,a,\,\r C, rn, ir t t f l .o f i . tF r.nttr t f t m tFrrFh .t I ydn,,\ trL, r , i$rYl n.tr ' . n( th..nth t. blo l . t .' l rn1. , t { , r r r i + t rnvJrr t.I^)\ .ysr, i ,! rnqrod,r,ysfu fL DretoddD t).r prtrrJ Derruskrr5 wh{h or 'r . . ' . j / { ! : dJ, j J l re.d,nl rhesrohevoiure! 4. \ snus rnyrhh,6 D.ero.dC afief oadt) myocardiatcontr.ctitit,6 A c6u3eolrntrdller ne vorrm. ov.ro.dhg\ rjYd..rri( 3l l nrr n, r )y ' larrorIof)i "rv1t r ,nn\ l ! r rn ,trtrh| ' I 'v t ,ot ,s l ' , . , l l hea' lsyrrnoi i jF 1l l l l, )7 Anraleni . l ! n l i r l i ' i hal .aG.sd. .hess,PoA . f r l .J laradDrhr r 'n,n.I A r lbel l .B CMV(i herpesO cors.ckle B vtrusL Crft.6 Ln.chrld molt L*.ry due rocHo il 't E rs6@Bredw(h-t9. ni,oot,'gt C cotthlntD l,mpingt Efhclof tal .mrl l!pu! n. n6onrl.A ca.dromyop.thye $unl e.lon.(c c, ,mpete. .n bto. lo myoc. rntE!0. Odyon. olltu ll Bnol .f.log.nEA rlaohol,{9,. p.r.c.t.nbtC amph.l!mh.!o v.tprot acidil . A.lgn ot .n.ded h..n l.ilur.,A putt t.c./.y.tidtB hep.ton.g.ty

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  • 8/6/2019 PedsSamplex Cardiology

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    ,A Thesour.eottetaioxygenndnulritionA. pt.c.nt.I F.tat unqs(, chorknl.vrltrt j tddl t ivr rItt lh.most.rDirur.ongq !r hed.l,rN.sse In downSyndrom. A. VSD& POA. j!- ,aso1?r'"."'""!,"],"9rc':Ij3.*-"**A Diencoph.toru,I Ratht(e,spoucnC Nalrohypophylisn tftrit.ry.t.tkln sihtrt|.( rytr.rt.n:rrrdr .hd.ehnrmocytomall dnc oA Aklostoon.8 Co({hohmln.rC AngiotonsnlD RcnthSquriing t a ypica|fatur. lA ASOB TOFc vsoO POARalllN hypoxenr. dLfng Inr.urllh. ti|! |A cnnnot Gt.in t.t!tlurvivrlI hpidr.r,tv du. tod.cr.!ie(t D tmn^lry r)ktod t,jwI N !,nrrod bv trdc.rdlacahu.t et rhe rrnrr,n nr rt,.rr " . nr . n, , r , r t st it . . trhtr. tnr ,n" ncgf l r4lPimlrr ! {u ' la 'y ' tD f iOhr b. du o.A- ru,ioBB ..Qcnn.t.tin.llrc Hypoth.r.fttcF ullclton

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  • 8/6/2019 PedsSamplex Cardiology

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    Aclle neonatarhvoocalcemia doe o'A Lowcaicium ontenl n cd s milkB HiqhPhGPh3t. cMlenl in cMs mrlkc rnqhc. l . lum PO 4 al ioL) tnw ( i t ld lnr Po4 l t rolnlr.ltenne tel6lctr.(blrun rs descnbed sA Crculalronn seriesB T.ansitional kcl]ralonI C. Parall.l cncubliono NeonalalcdcuhnonTh. onlyanteno'prl!'la.y hormonewft specitic algel oroanA lirobcnnI Crov!'th ormoncc AcTr lr ) lxyror ' f l ) r rA contrnuols rrurtrir' l rho .' d rCS lr5B is most kelv duc loA PO AB VS Oc Asoo loFf heansou.d is due o lheciGure oI,A Semilunai alvesI Alrlov.nhcularvalvesC Thepesl.nv.lveO Ellachr.nval lePalpatdynndnos.qlrvsref l lo a 9r.de4 m!.nru6

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  • 8/6/2019 PedsSamplex Cardiology

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  • 8/6/2019 PedsSamplex Cardiology

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  • 8/6/2019 PedsSamplex Cardiology

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  • 8/6/2019 PedsSamplex Cardiology

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    (tl,r,.ip"-ototr ua*,Y i, ,do' l lurhrcind. s l l l i ls0{1206MULTIPLO HqICD:

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